| Waterbirths compared with landbirths: an observational study of nine years. | |
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MedLine Citation:
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PMID: 15346814 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIMS: This study compares neonatal and maternal morbidity and mortality between waterbirths and landbirths (spontaneous singleton births in cephalic presentation, vacuum extractions are excluded). METHODS: In this observational study covering nine years, standardized questionnaires were used to document 9,518 spontaneous singleton cephalic presentation births, of which 3,617 were waterbirths and 5,901 landbirths. RESULTS: Landbirths show higher rates of episiotomies as well as third and fourth degree perineal lacerations. Waterbirths show a higher rate of births "without injuries", first and second-degree perineal lacerations, vaginal and labial tears. After a waterbirth, there is an average loss of 5.26 g/l blood; this is significantly less than landbirths where there is an 8.08 g/l blood loss on average. In 69.7% waterbirths required no analgesic, compared to 58.0% for landbirths. Water and landbirths do not differ with respect to maternal and neonatal infections. After landbirths, there was a higher rate of newborn complications with subsequent transfer to an external NICU. During the study, there were neither maternal nor neonatal deaths related to spontaneous labor. CONCLUSIONS: Waterbirths are associated with low risks for both mother and child when obstetrical guidelines are followed. |
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Authors:
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Verena Geissbuehler; Sonja Stein; Jakob Eberhard |
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Publication Detail:
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Type: Comparative Study; Evaluation Studies; Journal Article |
Journal Detail:
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Title: Journal of perinatal medicine Volume: 32 ISSN: 0300-5577 ISO Abbreviation: J Perinat Med Publication Date: 2004 |
Date Detail:
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Created Date: 2004-09-06 Completed Date: 2004-10-21 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0361031 Medline TA: J Perinat Med Country: Germany |
Other Details:
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Languages: eng Pagination: 308-14 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Cantonal Hospital, Frauenfeld, Switzerland. verena.geissbuehler@stgag.ch |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Delivery, Obstetric / methods*, statistics & numerical data* Female Humans Immersion* Infant, Newborn Pregnancy Pregnancy Outcome Questionnaires Switzerland / epidemiology |
| Comments/Corrections | |
Comment In:
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J Perinat Med. 2004;32(6):543-4
[PMID:
15576281
]
J Perinat Med. 2004;32(4):306-7 [PMID: 15346813 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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